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The outcome of psychodynamic psychotherapies with individuals diagnosed with personality disorders: a systematic review

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Pages 115-138 | Received 26 May 2013, Accepted 21 Jan 2014, Published online: 05 Mar 2014

REFERENCES

  • Abbass, A., Sheldon, A., Gyra, J., & Kalpin, A. (2008). Intensive short-term dynamic psychotherapy for DSM-IV personality disorders: A randomized controlled trial. Journal of Nervous and Mental Disease, 196, 211–216. 10.1097/NMD.0b013e3181662ff0.
  • Abbass, A., Town, J., & Driessen, E. (2011). The efficacy of short-term psychodynamic psychotherapy for depressive disorders with comorbid personality disorder. Psychiatry: Interpersonal and Biological Processes, 74, 58–71. 10.1521/psyc.2011.74.1.58.
  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (DSM-IV) (4th ed.). Washington, DC: Author.
  • American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-V) (5th ed.). Washington, DC: Author.
  • Anestis, M. D., Anestis, J. C., & Lilienfeld, S. O. (2011). When it comes to evaluating psychodynamic therapy, the devil is in the details. American Psychologist, 66, 149–151. 10.1037/a0022654.
  • Arnevik, E., Wilberg, T., Urnes, O., Johansen, M., Monsen, J. T., & Karterud, S. (2009). Psychotherapy for personality disorders: Short-term day hospital psychotherapy versus outpatient individual therapy – A randomized controlled study. European Psychiatry, 24, 71–78. 10.1016/j.eurpsy.2008.09.004.
  • Arnevik, E., Wilberg, T., Urnes, O., Johansen, M., Monsen, J. T., & Karterud, S. (2010). Psychotherapy for personality disorders: 18 months' follow-up of the Ulleval personality project. Journal of Personality Disorder, 24, 188–203. 10.1521/pedi.2010.24.2.188.
  • Bartak, A., Andrea, H., Spreeuwenberg, M. D., Thunnissen, M., Ziegler, U. M., Dekker, J., … Emmelkamp, P. M. (2011a). Patients with cluster A personality disorders in psychotherapy: An effectiveness study. Psychotherapy and Psychosomatics, 80, 88–99. 10.1159/000320587.
  • Bartak, A., Andrea, H., Spreeuwenberg, M. D., Ziegler, U. M., Dekker, J., Rossum, B. V., … Emmelkamp, P. M. (2011b). Effectiveness of outpatient, day hospital, and inpatient psychotherapeutic treatment for patients with cluster B personality disorders. Psychotherapy and Psychosomatics, 80, 28–38. 10.1159/000321999.
  • Bartak, A., Spreeuwenberg, M. D., Andrea, H., Holleman, L., Rijnierse, P., Rossum, B. V., … Emmelkamp, P. M. G. (2010). Effectiveness of different modalities of psychotherapeutic treatment for patients with cluster C personality disorders: Results of a large prospective multicentre study. Psychotherapy and Psychosomatics, 79, 20–30. 10.1159/000254902.
  • Bateman, A., & Fonagy, P. (1999). Effectiveness of partial hospitalisation in the treatment of borderline personality disorder: A randomised controlled trial. American Journal of Psychiatry, 156, 1563–1569. 10.1192/bjpbp105012088.
  • Bateman, A., & Fonagy, P. (2004). Psychotherapy for borderline personality disorder: Mentalization based treatment. Oxford: Oxford University Press.
  • Bateman, A. W., & Fonagy, P. (2008). 8-year follow-up of patients treated for borderline personality disorder: Mentalization-based treatment versus treatment as usual. American Journal of Psychiatry, 165, 631–638. 10.1176/appi.ajp.2007.07040636.
  • Bateman, A. W., & Fonagy, P. (2009). Randomized controlled trial of outpatient mentalization-based treatment versus structured clinical management for borderline personality disorder. American Journal of Psychiatry, 166, 1355–1364. 10.1176/appi.ajp.2009.09040539.
  • Bateman, A. W., & Tyrer, P. (2004). Psychological treatment for personality disorders. Advances in Psychiatric Treatment, 10, 378–388. 10.1192/apt.10.5.378.
  • Bhar, S. S., Thombs, B. D., Pignotti, M., Bassel, M., Jewett, L., Coyne, J. C., & Beck, A. T. (2010). Is longer-term psychodynamic psychotherapy more effective than shorter-term therapies? Review and critique of the evidence. Psychotherapy and Psychosomatics, 79, 208–216. 10.1159/000313689.
  • Blatt, S. J. (2004). Experiences of depression: Theoretical, clinical and research perspectives. Washington, DC: American Psychological Association.
  • Blatt, S. J., Besser, A., & Fored, R. Q. (2007). Two primary configurations of psychopathology and change in thought disorder in long-term intensive inpatient treatment of seriously disturbed young adults. American Journal of Psychiatry, 164, 1561–1567. 10.1176/appi.ajp.2007.0511185.
  • CASP [Critical Appraisal Skills Programme]. (2000). Critical Appraisal Skills Programme: Making sense of evidence. 10 questions to help you make sense of randomized controlled trials. Milton Keynes: Milton Keynes Primary Care Trust.
  • Chiesa, M., Fonagy, P., & Gordon, J. (2009). Community-based psychodynamic treatment program for severe personality disorders: Clinical description and naturalistic evaluation. Journal of Psychiatric Practice, 15, 12–24. 10.10.1097/01.pra.0000344915.61706.d4.
  • Chiesa, M., Fonagy, P., & Holmes, J. (2006). 6 year follow-up of three treatment programs to personality disorder. Journal of Personality Disorder, 20, 493–509.
  • Clarkin, J. F., Levy, K. N., Lenzenweger, M. F., & Kernberg, O. F. (2007). Evaluating three treatment for borderline personality disorder: A multiwave study. American Journal of Psychiatry, 164, 922–928.
  • Clarkin, J. F., Yeomans, F. E., & Kernberg, O. F. (2006). Psychotherapy for borderline personality: Focusing on object relations. American Psychiatric Publishing.
  • Concato, J., Shah, N., & Horwitz, R. I. (2000). Randomized, controlled trials, observational studies, and the hierarchy of research designs. New England Journal of Medicine, 342, 1887–1892. 10.1056/NEJM200006223422507.
  • Connolly Gibbons, M. B., Crits-Christoph, P., & Hearon, B. (2008). The empirical status of psychodynamic therapies. Annual Review of Clinical Psychology, 4, 93–108. 10.1146/annurev.clinpsy.4.022007.141252.
  • Derogatis, L. R. (1983). SCL-90-R: Administration, scoring and procedures manual II for revised version and other instruments of the psychopathology rating scale series (2nd ed.). Towson, MD: Clinic Psychometric Research.
  • Doering, S., Horz, S., Rentrop, M., Fischer-Kern, M., Schuster, P., Benecke, C., … Buchheim, P. (2010). Transference-focused psychotherapy v. treatment by community psychotherapists of borderline personality disorder: Randomised controlled trial. British Journal of Psychiatry, 196, 389–395. 10.1192/bjp.bp.109.070177.
  • Emmelkamp, P. M. G., Benner, A., Kuipers, A., Feiertag, G. A., Koster, H. C., & van Apeldoorn, F. J. (2006). Comparison of brief dynamic and cognitive-behavioural therapies in avoidant personality disorder. British Journal of Psychiatry, 189, 60–64. 10.1192/bjp.bp.105012153.
  • Fonagy, P., Roth, A., & Higgitt, A. (2005). The outcome of psychodynamic psychotherapy for psychological disorders. Clinical Neuroscience Research, 4, 367–377, 10.10161/j.cnr.2005.03.005.
  • Galatzer-Levy, R., Bachrach, H., Skolnikov, A., & Waldon, S. (2000). Does psychoanalysis work? London: Yale University Press.
  • Gerber, A. J., Kocsis, J. H., Milrod, B. L., Roose, S. P., Barber, J. P., Thase, M. E., … Leon, A. C. (2011). A quality-based review of randomized controlled trials of psychodynamic psychotherapy. American Journal of Psychiatry, 168, 19–28. 10.1176/appi.ajp.2010.08060843.
  • Giesen-Bloo, J., van Dyck, R., Spinhoven, P., van Tilburg, W., Dirksen, C., van Asselt, T., … Arntz, A. (2006). Outpatient psychotherapy for borderline personality disorder: Randomized trial of schema-focused therapy vs transference-focused psychotherapy. Archives of General Psychiatry, 63, 649–1008. 10.1001/archpsyc.63.6.649.
  • Gregory, R. J., Chlebowski, S., Kang, D., Remen, A. L., Soberberg, M. G., Stepkovitch, J., & Virk, S. (2008). A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder. Psychotherapy: Theory, Research, Practice, Training, 45, 28–41. 10.1037/0033-3204.45.1.28.
  • Gregory, R. J., DeLucia-Deranja, E., & Modle, J. A. (2010). Dynamic deconstructive psychotherapy versus optimalised community care for borderline personality disorder co-occurring with alcohol use disorders: A 30 month follow up. Journal of Nervous and Mental Disease, 198, 292–298. 10.1097/NMD.0b013e3181d6172d.
  • Gregory, R. J., Remen, A. L., Soderberg, M., & Ploutz-Snyder, R. J. (2009). A controlled trial of psychodynamic psychotherapy for co-occurring borderline personality disorder and alcohol use disorder: Six month outcome. Journal of American Psychoanalytic Association, 57, 199–205. 10.1037/0033-3204.45.1.28.
  • Gude, T., & Hoffart, A. (2008). Change in interpersonal problems after cognitive agoraphobia and schema-focused therapy versus psychodynamic treatment as usual of inpatient with agoraphobia and Cluster C personality disorders. Scandinavian Journal of Psychology, 49, 195–199. 10.1111/j.1467-9450.2008.00629.x.
  • Gullestad, F. S., Wilberg, T., Klungsoyr, O., Johansen, M. S., Urnes, O., & Karterud, S. (2012). Is treatment in a day hospital step-down program superior to outpatient individual psychotherapy for patients with personality disorders? 36 months follow-up of a randomized clinical trial comparing different treatment modalities. Psychotherapy Research, 22, 426–441. 10.1080/10503307.2012.662608.
  • Henry, W. P. (1998). Science, politics and the politics of science: The use and misuse of empirically validated treatment research. Psychotherapy Research, 8, 126–140. doi:10.1080/10503309812331332267.
  • Horowitz, L. M., Rosenberg, S. E., Bear, B. A., Ureno, G., & Villasenor, V. S. (1993). Inventory of interpersonal problems: Psychometric properties and clinical applications. Journal of Consulting and Clinical Psychology, 61, 549–560. 10.1037/0022-006X.56.6.885.
  • Jorgensen, C. R., & Kjolbye, M. (2007). Outcome of psychoanalytically oriented outpatient treatment of borderline personality disorder. Nordic Psychology, 59, 164–180. 10.1027/1901-2276.59.2.164.
  • Kallestad, H., Valen, J., McCullough, L., Svartberg, M., Hoglend, P., & Stiles, T. C. (2010). The relationship between insight gained during therapy and long-term outcome in short-term dynamic psychotherapy and cognitive therapy for cluster C personality disorders. Psychotherapy Research, 20, 526–534. 10.1080/10503307.2010.492807.
  • Kliem, S., Kroger, C., & Kosfelder, J. (2010). Dialectical behavior therapy for borderline personality disorder: A meta-analysis using mixed-effects modeling. Journal of Consulting and Clinical Psychology, 78, 936–951. 10.1037/a0021015.
  • Leichsenring, F. (2005). Are psychodynamic and psychoanalytic therapies effective? International Journal of Psychoanalysis, 86, 841–868. 10.1516/RFEE-LKPN-B7TF-KPDU.
  • Leichsenring, F., & Leibing, E. (2003). The effectiveness of psychodynamic therapy and cognitive behavior therapy in the treatment of personality disorders: A meta-analysis. American Journal of Psychiatry, 160, 1223–1232. 10.1176/appi.ajp.160.7.1223.
  • Leichsenring, F., Leibing, E., Kruse, J., New, A. S., & Leweke, F. (2011). Borderline personality disorder. The Lancet, 377, 74–84. 10.1016/S0140-6736(10)61422-5.
  • Leichsenring, F., Masuhr, O., Jaeger, U., Dally, A., & Streeck, U. (2010). The effectiveness of psychoanalytic-interactional psychotherapy in borderline personality disorder. Bulletin of the Menninger Clinic, 74, 206–218. 10.1521/bumc.2010.74.3.206.
  • Leichsenring, F., & Rabung, S. (2011). Long-term psychodynamic psychotherapy in complex mental disorders: Update of a meta-analysis. British Journal of Psychiatry, 199, 15–22. 10.1192/bjp.bp.110.082776.
  • Levy, K. N., Meeham, K. B., Kelly, K. M., Reynoso, J. S., Weber, M., Clarkin, J. F. & Kernberg, O. F. (2006). Change in attachment patterns and reflective function in a randomised control trial of transference-focused psychotherapy for a borderline personality disorder. Journal of Consulting and Clinical Psychology, 74, 1027–1040. 10.11037/0022-006x.74.6.1027.
  • Linehan, M. M. (1993). Cognitive-behavioral treatment of borderline personality disorder. New York, NY: Guilford.
  • Livesley, W. J., & Jang, K. L. (2000). Toward an empirically based classification of personality disorder. Journal of Personality Disorders, 14, 137–151. 10.1521/pedi.2011.25.3.397.
  • McMain, S. F., Links, P. S., Gnam, W. H., Guimond, T., Cardish, R. J., Korman, L., & Streiner, D. L. (2009). A randomized trial of dialectical behavior therapy versus general psychiatric management for borderline personality disorder. American Journal of Psychiatry, 166, 1365–1374. 10.1176/appi.ajp.2009.09010039.
  • Millon, T., Grossman, C. M., Millon, S., Meagher, S., & Ramnath, R. (2004). Personality disorders in the modern life. London: Wiley.
  • Perry, J. C., Banon, E., & Ianni, F. (1999). Effectiveness of psychotherapy for personality disorders. American Journal of Psychiatry, 156, 1312–1321.
  • Petticrew, M., & Roberts, H. (2006). Systematic reviews in the social sciences. A practical guide. Oxford: Blackwell.
  • Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. American Psychologist, 65, 98–109. 10.1037/a0018378.
  • Skodol, A. E., Gunderson, J. G., Pfohl, B., Widiger, T. A., Livesley, W. J., & Siever, L. J. (2002). The borderline diagnosis: I. Psychopathology, comorbidity and personality structure. Biological Psychiatry, 51, 936–950. 10.1016/S0006-3223(02)01324-0.
  • Swartz, M., Blazer, D., George L., & Winfield I. (1990). Estimating the prevalence of borderline personality disorder in the community. Journal of Personality Disorders, 4, 257–272. https://doi.org/doi: 10.1521/pedi.1990.4.3.257.
  • Town, J. M., Abbass, A., & Hardy, G. (2011). Short-term psychodynamic psychotherapy for personality disorders: A critical review of randomized controlled trials. Journal of Personality Disorders, 25, 723–740. 10.1521/pedi.2011.25.6.723.
  • Verheught-Pleiter, A., & Deben-Mager, M. (2006). Transference-focused psychotherapy and mentalization-based treatment: Brother and sister? Psychoanalytic Psychotherapy, 20, 297–315. 10.1080/02668730601020374.
  • Verheul, R., & Herbrink, M. (2007). The efficacy of various modalities of psychotherapy for personality disorders: A systematic review of the evidence and clinical recommendations. International Review of Psychiatry, 19, 25–38. 10.1080/09540260601095399.
  • Vermote, R., Lowyck, B., Luyten, P., Vertommen, H., Corveleyn, J., Verhaest, Y., … Peuskens, J. (2010). Process and outcome in psychodynamic hospitalisation-based treatment for patients with a personality disorder. Journal of Nervous and Mental Disease, 198, 110–115. 10.1097/NMD.0b013e3181cc0d59.
  • Vinnars, B., Barber, J. P., Noren, K., Galop, R., & Weinryb, R. M. (2005). Manualized supportive-expressive psychotherapy versus nonmanualized community-delivered psychodynamic therapy for patients with personality disorder: Bridging efficacy and effectiveness. American Journal of Psychiatry, 162, 1933–1940. 10.1176/appi.ajp.162.10.1933.
  • Vinnars, B., Barber, J. P., Noren, K., Thormahlen, B., Gallop, R., Lindgren, A., & Weinryb, R. (2007). Who can benefit from time-limited dynamic psychotherapy? A study of psychiatric outpatients with personality disorders. Clinical Psychology and Psychotherapy, 14, 198–210. 10.1002/cpp.530.
  • Vinnars, B., Thormahlen, B., Gallop, R., Horen, K., & Barber, J. P. (2009). Do personality problems improve during psychodynamic supportive-expressive psychotherapy? Secondary outcome results from a randomised controlled trial for psychiatric outpatients with personality disorders. Psychotherapy, 46, 362–375. 10.1037/a0017002.
  • World Health Organisation. (1992). ICD-10 classification of mental and behavioural disorder: Clinical descriptions and diagnostic guidelines. Geneva: Author.

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